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General NPI Number Information
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NPI Number | 1821356148
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Entity Type | Organization
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Legal Business Name | CUMBERLAND COUNTY GUIDANCE CENTER
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 2038 CARMEL RD
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City | MILLVILLE
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State | NJ
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Zip | 08332-9754
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Country | US
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Telephone | 856-825-6810
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Fax | 856-327-4281
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Provider Business Mailing Address
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Address Line | 2038 CARMEL RD
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City | MILLVILLE
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State | NJ
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Zip | 08332-9754
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Country | US
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Telephone | 856-825-6810
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Fax | 856-327-4281
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. H. DIETER HOVERMANN
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Credential | MA
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Telephone | 856-825-6810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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